PTA and OTA Supervision Requirements Under Medicare
How Medicare's 2025 general supervision rule changed PTA and OTA oversight, and why state law and CQ/CO billing still apply on top of it.
Blog
Guides, comparisons, and compliance resources for independent outpatient practices.
ABNs and the GA, GX, GY, GZ Modifiers in Therapy
When ABNs are mandatory versus voluntary in therapy, how the GA, GX, GY, and GZ modifiers work, and how the 2026 form revision changes the paperwork.
What Makes a Form Builder HIPAA Compliant?
What HIPAA actually requires of an intake form vendor: business associate status, Security Rule safeguards, and the 2025 proposed update.
Medicare Plan of Care Certification for Therapy
The certification and recertification rules for therapy plans of care: the 30-day window, the 2025 exception, and 90-day recertification.
RTM Billing for Therapy Practices: The 2026 Code Set
The complete RTM code set for 2026, including new short-duration codes 98985 and 98979, billing rules, and documentation requirements for PT/OT/SLP.
The CY 2027 Medicare Fee Schedule Proposed Rule for Therapy
What CMS's proposed CY 2027 fee schedule means for therapy practices: conversion factor cuts, the new KX threshold, and the comment deadline.
Outpatient Therapy EHR Comparison: 8 Platforms (2026)
A sourced, dated comparison of outpatient therapy EHRs: WebPT, Prompt, SPRY, Jane, PT Everywhere, Athelas, Stride, and PrismEHR, with pricing and review data.
Medicare Telehealth for PT, OT, and SLP: The 2026 Rules
Therapists can bill Medicare telehealth through December 31, 2027. The current rules: eligible codes, POS and modifiers, audio-only, and the next cliff.
The CQ and CO Modifiers: Billing PTA and OTA Services
How the CQ and CO modifiers work: the 10 percent de minimis standard, the 85 percent payment rate, CMS's billing examples, and the CY 2022 exceptions.
Medicare Chiropractic Billing: CMT Codes and the AT Modifier
What Medicare actually covers for chiropractors: the three CMT codes, the AT modifier rules, subluxation documentation, and the exclusions that surprise DCs.
Medicare PT Documentation Requirements That Survive Review
The five documents Medicare expects for every therapy episode, their required elements and deadlines, and the language reviewers look for, from the manual.
Common Medicare PT Claim Denials and How to Prevent Them
The denial categories that actually hit outpatient therapy claims, what each one looks like on a remittance, and the workflow that prevents it.
The KX Modifier and Medicare Therapy Thresholds (CY 2026)
What the $2,480 KX threshold and $3,000 medical review threshold mean, what counts toward them, and how to use the KX modifier without inviting audits.
The Medicare 8-Minute Rule: A Complete Guide for Therapists
How Medicare converts therapy minutes into billable units: the unit chart, mixed remainders, CMS's official examples, and the edge cases most guides skip.